BY : Reem almutairi

Amal alanazi
Dr : sara
 Clint name : najah alahmadi 
Date &place of birth : 15\4\1991 in riyadh •
Marital status : married •
Admission date : 13 \ 10 \ 2020 •
Bed no : 3A •
Physical limitation (specify) : normal physical •
Date surgery : none •
Educational level : university •
Medical diagnosis : ovarian cysts •
Diet : normal diet •
Allergy : non •
+Blood group : B •
Medical insurance : no insurance Religion : islam •
 Communication : Very good and success communication with
pt without barriers
Present history : she have tender, palpable mass and pelvic
. pain and menstrual irregularity
. Past history : non past history
Obstetrical and gynecological : there are no previous births and
. no previous pregnancy
. Family history : non family history of these disease

Assessment
Perform abdominal examination for tenderness , guarding 
., and rebound , which may indicate rupture
Discomfort during bowel movement or pressure on the 
. bowel
Tender , Palpable masses 
 Ovarian cysts

Ovarian cysts are a growths arising from ovarian

. components , usually benign

: Pathophysiology and etiology

Commonly arise from functional change in the .1
ovary-from graafian follicle or from persistent
. corpus luteum
Dermoid cysts may develop from abnormal .2
. embryonic epithelium
Frequently found during childbearing years ; .3
masses found in women older than age 50 have
. greater chance of being malignant
 Diagnosis evaluation

Pelvic sonogram to determine size and 

. characteristics
Biopsy ( at time of surgery ) is done for 
. suspicious cysts
Function cysts less than 5 cm wide may be 
treated with hormonal contraceptive for 1 to 3
. months in attempt to suppress them
Surgery for large , complex , or leaking cysts by 
. laparoscopy
. Pregnancy test to rule out ectopic pregnancy 
 Nursing diagnosis

Acute pain related to abnormal growth 

Risk for deficient fluid volume related to 
rupture of cyst or postoperative change in
intra-abdominal pressure

Nursing intervention
Relieving pain
Encourage the use of analgesics , as .1
prescribed , and of heating pad if desired
Teach patient the proper use of hormonal .2
contraceptives , if prescribed , with
adverse effects ; encourage monthly
. follow-up visits to determine if cyst
Tell patient that heavy lifting , strenuous .3
exercise , and sexual intercourse may
increase pain
 Maintain fluid volume

Monitor for nausea , vomiting , rigid .4

abdomen , and change in vital signs
related to rupture of cyst
Administer IV fluids , as directed , and .5
maintain NPO status until abdominal
rigidity resolves
Postoperatively monitor vital signs .6

frequently and maintain IV infusion while

. NPO